Abstract:
:The United States has 86 million adults with prediabetes. Individuals with prediabetes can prevent or delay the development of type 2 diabetes through lifestyle modifications such as participation in the National Diabetes Prevention Program (DPP), thereby mitigating the medical and economic burdens associated with diabetes. A cohort analysis of a commercially insured population was conducted using individual-level claims data from Truven Health MarketScan® Lab Database to identify adults with prediabetes, track whether they develop diabetes, and compare medical expenditures for those who are newly diagnosed with diabetes to those who are not. This study then illustrates how reducing the risk of developing diabetes by participation in an evidence-based lifestyle change program could yield both positive net savings on medical care expenditures and return on investment (ROI). Annual expenditures are found to be nearly one third higher for those who develop diabetes in subsequent years relative to those who do not transition from prediabetes to diabetes, with an average difference of $2671 per year. At that cost differential, the 3-year ROI for a National DPP is estimated to be as high as 42%. The results show the importance and economic benefits of participation in lifestyle intervention programs to prevent or delay the onset of type 2 diabetes.
journal_name
Popul Health Managjournal_title
Population health managementauthors
Khan T,Tsipas S,Wozniak Gdoi
10.1089/pop.2016.0134subject
Has Abstractpub_date
2017-10-01 00:00:00pages
389-396issue
5eissn
1942-7891issn
1942-7905journal_volume
20pub_type
杂志文章abstract::Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provid...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0130
更新日期:2018-10-01 00:00:00
abstract::Area Deprivation Index (ADI) is a marker of neighborhood deprivation. This study investigates utilization of coronary bare-metal stent (BMS) and drug-eluting stent (DES) in Medicare patients across hospitals with varying ADI. Data were abstracted using Diagnosis-Related Group (DRG) codes 249 (BMS without major complic...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0086
更新日期:2017-08-01 00:00:00
abstract::Vaginitis is one of the main causes of primary care and gynecological visits in the United States. The most common infectious causes are bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), and trichomoniasis. A physician survey was conducted to measure awareness of vaginitis clinical guidelines and availability ...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2020.0258
更新日期:2020-10-01 00:00:00
abstract::The objective of this study was to examine the impact of PepsiCo's health and wellness program on medical cost and utilization. The authors analyzed health plan and program data of employees and dependents 19-64 years of age, who had 2 years of baseline data (2002 and 2003) and at least 1 year of data from the interve...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.1691
更新日期:2013-02-01 00:00:00
abstract::Federally Qualified Health Centers (FQHCs), like many health systems, are in transition toward alternative/advanced payment and reimbursement models. Gradually, fee-for-service reimbursements will be replaced by value-based payments with shared accountability for patients' health care outcomes. This article provides a...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0221
更新日期:2020-02-24 00:00:00
abstract::Chronic opioid treatment is a highly effective method to treat chronic pain; however, the prevalence of abuse of opioids can make treating patients with these agents difficult for clinicians. The objective of this study was to describe rates of inappropriate utilization, abuse, and diversion in a population of patient...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2009.0015
更新日期:2009-08-01 00:00:00
abstract::The objective was to evaluate the effect of separate interventions on antimicrobial prescribing for uncomplicated upper respiratory tract infections. The authors conducted a quasi-experimental pre-post study with concurrent control groups for each intervention. Academic detailing led to a significant reduction in unne...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2012.0025
更新日期:2013-02-01 00:00:00
abstract::In 2010, Veterans Health Administration (VHA) primary care clinics adopted a patient-centered medical home (PCMH) model. This study sought to examine the association between the organizational features related to adoption of PCMH and the level of adherence to oral hypoglycemic agents (OHAs) among patients with diabete...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0039
更新日期:2018-04-01 00:00:00
abstract::The objective was to estimate clinical metric and medication persistency impacts of a care management program. The data sources were Medicaid administrative claims for a sample population of 32,334 noninstitutionalized Medicaid-only aged, blind, or disabled patients with diagnosed conditions of asthma, coronary artery...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2014.0003
更新日期:2015-02-01 00:00:00
abstract::Sleep deprivation and disturbances can result in lowered productivity and increased errors/accidents. Little is known about population characteristics associated with the use of sleep medications. The objective of this study was to investigate the association of sociodemographic factors with the use of sleep medicatio...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.0124
更新日期:2014-12-01 00:00:00
abstract::Given the severe and rapid impact of COVID-19, the pace of information sharing has been accelerated. However, traditional methods of disseminating and digesting medical information can be time-consuming and cumbersome. In a pilot study, the authors used social listening to quickly extract information from social media...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2020.0189
更新日期:2020-10-01 00:00:00
abstract::Despite widespread interest in addressing social determinants of health (SDH) as a means to improve health and to reduce health care spending, little information is available about how to develop, sustain, and scale nonmedical interventions in diverse payer environments, including Medicaid Managed Care. This study aim...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2016.0092
更新日期:2017-08-01 00:00:00
abstract::The objective of this study was to determine the relationship between health status and productivity loss and to provide estimates of the business implications of lost work performance. Health risk appraisal responses from over 1 million participants were analyzed to determine productivity loss associated with several...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0014
更新日期:2011-04-01 00:00:00
abstract::In integrated health care systems, techniques that identify successes and opportunities for targeted improvement are needed. The authors propose a new method for estimating population health that provides a more accurate and dynamic assessment of performance and priority setting. Member data from a large integrated he...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2018.0143
更新日期:2019-10-01 00:00:00
abstract::The impact of a hypertension awareness and educational program, BP DownShift, was evaluated among school bus drivers in a southern US state. At baseline (August 2007), blood pressure (BP) measurements, self-reported demographics, and hypertension awareness and management practices were collected from drivers who conse...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2009.0011
更新日期:2010-04-01 00:00:00
abstract::The objective was to assess the effect of online use of a patient portal on improvement of glycohemoglobin (HbA1c) in patients with type 2 diabetes presenting to primary care clinics. This retrospective cohort design used data from a primary care patient data registry that captured all ambulatory visits to the academi...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0034
更新日期:2016-04-01 00:00:00
abstract::Derived from various health care policies and initiatives, the concept of population health has been newly adopted by health care and medicine. In particular, it has been suggested that the Patient Protection and Affordable Care Act provision that requires nonprofit hospitals to conduct a community health needs assess...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0075
更新日期:2016-06-01 00:00:00
abstract::This case study describes a multistage approach applied to evaluation of an employee wellness program at Northwell Health. The paper describes a framework that other large employers may adopt in their wellness program evaluations. Evaluators worked with Northwell to develop, tailor, and apply a structure-process-outco...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2018.0177
更新日期:2019-12-01 00:00:00
abstract::Each year, ineffective medical management of patients with mental illness compromises the health and well-being of individuals, and also impacts communities and our society. A variety of interrelated factors have impeded the health system's ability to treat patients with behavior health conditions adequately. A key co...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2018.0101
更新日期:2019-06-01 00:00:00
abstract::Population health is one of the pillars of the Triple Aim to improve US health care. The authors developed a framework for population health measurement and a proposed set of measures for further exploration to guide the population health efforts in Maryland. The authors searched peer-reviewed, expert-authored literat...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0112
更新日期:2018-08-01 00:00:00
abstract::Care management is seen as a promising approach to address the complex care needs of patients with multimorbidity. Predictive modeling based on insurance claims data is an emerging concept to identify patients likely to benefit from care management interventions. We aimed to identify and explore patterns of multimorbi...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2011.0026
更新日期:2012-04-01 00:00:00
abstract::In January 2015, the US Secretary of Health and Human Services announced targets for the transformation of Medicare reimbursement from a fee-for-service model to payments based on alternative payment models. People now use technology for virtually everything - from paying bills to purchasing almost anything; it is the...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2017.0080
更新日期:2018-08-01 00:00:00
abstract::The primary objective was to determine the prevalence and characteristics of older adults concurrently using opioids and other central nervous system (CNS)-active medications, and the specialties of providers who ordered the medications. A secondary objective was to document medication-related adverse effects associat...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2019.0128
更新日期:2020-08-01 00:00:00
abstract::Diabetes self-management education is an essential component of diabetes clinical management, and community-based programs are an effective intervention for improving glycemic control among adults living with diabetes. The National Standards for Diabetes Self-Management Education and Support are designed to define qua...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.0044
更新日期:2014-02-01 00:00:00
abstract::The concept of frailty has been evolving dramatically for the past 30 years. Through its evolution, a variety of single and multidimensional models have been used to describe frailty. This article reviews the current literature related to the defining dimensions of frailty and identifies the gaps in the literature req...
journal_title:Population health management
pub_type: 杂志文章,评审
doi:10.1089/pop.2010.0066
更新日期:2011-12-01 00:00:00
abstract::Stroke is the third leading cause of death in the United States and the leading cause of disability. Stroke patients' outcomes are strongly determined by how long they remain untreated ("time is brain"). The Joint Commission's adoption of stroke performance improvement measures combined with the Centers for Medicare a...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2010.0068
更新日期:2011-12-01 00:00:00
abstract::The objective of this study was to estimate the association between changes in health care expenditures relative to changes in health risk status for employers of all sizes. Repeat health risk assessments (HRAs) were obtained from 50,005 employees and spouses with 2 years of health plan enrollment, and from 37,559 emp...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2013.0103
更新日期:2014-10-01 00:00:00
abstract::The main objective of this study is to assess the cost benefit associated with comprehensive eye exams as a tool for the early detection of diabetes, hypertension, and high cholesterol. A retrospective, claims-based analysis was performed using U.S.-based employees and spouses from a large, national database. Individu...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2009.0050
更新日期:2010-08-01 00:00:00
abstract::Obesity is a chronic disease that poses serious health and societal burdens. Although guidelines exist for obesity management in primary care, evaluating the success of obesity treatment programs is hampered by lack of established, robust quality measures. This study aimed to develop, and test for feasibility, measure...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2020.0109
更新日期:2020-11-11 00:00:00
abstract::Physical activity provides numerous health benefits, including reducing risk factors that contribute to the leading causes of morbidity and mortality. Many employers offer incentives to employees to motivate engagement in wellness program activities. Two incentive designs to reward employees for achieving step goals w...
journal_title:Population health management
pub_type: 杂志文章
doi:10.1089/pop.2015.0030
更新日期:2016-04-01 00:00:00